CMS Price Transparency Data

Hepatitis C antibody test

Facility: Dupont Hospital LLC

Billing Code: 86803 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 86803
  • Insurance Median: $44
  • Cash Discount Price: $68
  • vs. Medicare Baseline: 3.08x Medicare
The contracted insurance negotiated median rate for a Hepatitis C antibody test at Dupont Hospital LLC is $44. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $68. Compared to the federal Medicare reimbursement reference rate of $14.27, this hospital’s rate is 3.08x the Medicare baseline. Located in 2520 E Dupont Rd, Fort Wayne, IN.
Cash / Self-Pay
$68

Average discount available for prompt cash payment at this facility.

Insurance Median
$44

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$14.27

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $14.27 (100%)
Cash / Self-Pay: $68 (477%)
Insurance Median: $44 (308%)
Cash: $68 (477% of Medicare)
Ins. Median: $44 (308% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $14.27 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 308% of the Medicare baseline (a markup of 208%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
Blue Cross Blue Shield $6 - $23 42%
Physicians Health Plan $13 - $193 91%
Tricare $13 91%
UnitedHealthcare $13 - $241 91%
Aetna $14 - $223 98%
Amish Aid $14 - $134 98%
Caresource $14 98%
Department Of Veterans Affairs $14 98%
Humana $14 98%
Iu Health $14 98%
Managed Health Services $14 - $29 98%
Medicaid / KanCare $14 98%
Medicare (plans) $14 98%
Node Devoted Health Mcr Adv $14 98%
Node Mhs Mcr Adv $14 98%
Node Non Par Hospice Agree $14 98%
Node Va $14 98%
Self Pay $14 - $224 98%
Veterans Eval Services $14 98%
In Dept Of Correction $15 105%
Lutheran Preferred $15 - $299 105%
Node Pphp Mcr Adv $15 105%
Cigna $17 - $181 119%
Php Freedom Network $17 - $27 119%
Us Department Of Labor $18 126%
Lutheran Advanced Network $21 147%
Lutheran Preferred Fixed 2 $21 147%
Align In Work Comp $23 161%
Encore Ppo $26 - $249 182%
Encore Work Comp In $26 182%
Lutheran Network $26 - $249 182%
Prime Health Services $26 - $374 182%
Medical Mutual Of Oh $28 - $264 196%
Sagamore $28 - $277 196%
In Work Comp $29 203%
Encore Kba Epo $34 238%
Frontpath $42 - $398 294%
Advantage Health Solutions $43 - $413 301%
Encore Health Network $43 - $448 301%
Encore Kba Ppo $43 301%
Multiplan $45 - $448 315%
Allied Benefit Systems $47 - $448 329%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2520 E Dupont Rd, Fort Wayne, IN 46825
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals